What is Naprapathy?

Naprapathic Medicine employs manual medicine, nutritional counseling, and therapeutic modalities, specializing in the treatment of pain caused by connective tissue disorders.


Connective tissue supports and contains the structures of the entire body, including the spinal column, surrounding muscles, joints and all articulations of the body. It includes ligaments, tendons, fascia, inter-vertebral discs, and cartilage.


A connective tissue disorder as treated by naprapathic care can be characterized by abnormally rigid and/or contracted (strained) ligaments, tendons and related muscles. Disorders such as these may create interference with the nerve pathways, in addition to impeding circulation of blood and lymph. When this occurs, it can often result in pain and inflammation to the affected area of the body.


Connective tissue disorders can be genetic but most are caused as a result of a specific incident or activity.  Common causes of connective tissue disorders include traumatic injury such as a car accident, sports injuries, falls, repetitive motion syndromes related to computer or machine use, heavy lifting and improper posture.


Doctors of Naprapathic Medicine often use a three-fold approach in the treatment of connective tissue disorders which includes manual medicine, nutritional counseling, and therapeutic modalities. 


1.       Naprapathic Manual Medicine involves hands-on (gentle) connective tissue manipulation to the spine, joints and articulations of the body.


2.       Nutritional Counseling can include recommendations for dietary changes, food supplementation (as through the use of herbs, vitamins and minerals) to assist the body in achieving optimal health.  The Raby Institute has several providers who specialize in the areas of nutrition, diet and the use of herbs, vitamins and minerals who can develop a plan to work to complement and work in conjunction with the naprapathic treatments to maximize  healing.


3.       Therapeutic Modalities: The use of the effective properties of physical measures of heat, cold, light, water, radiant energy, electricity, sound, air and assistive devices for the purpose of preventing, correcting or alleviating a physical disability. Modalities may include ultrasound, electric stimulation and/or photobiostimulation (also known as low-level laser or cold laser therapy).


Some common musculoskeletal and connective tissue disorders successfully treated through Naprapathic Medicine include:

Back Pain                                             Tension Headaches

Neck Pain                                             Migraine Headaches

Hip Pain                                                Disc Herniation

Leg Pain                                               Tennis Elbow

Sciatica                                                 Golfer's Elbow

Shoulder Pain                                        Neuropathy

Rotator Cuff Injuries                            Strains

Sprains                                                 Knee pain

Chronic fatigue syndrome                   Arthritis

Plantar fasciitis                                    Bursitis



Naprapathic treatments are often integrated into the overall treatment plan for a patient and used with other medical approaches. The benefits of a Naprapathic treatments are many and can include pain relief, structural corrections, and an overall sense of well-being. 


Naprapathic Providers

Marc Margiotta, D.N., D.A.A.P.M., is a Illinois Licensed Naprapath and holds a Diplomat with the American Academy of Pain Management. After himself becoming a patient more than 20 years ago his interest in manipulative medicine has led him down an exciting road that has blessed him with the opportunity to share his passion and expertise in manipulative technique with the patients of the Raby Institute.


Dr. Margiotta is dedicated to bringing the most innovative and cutting edge techniques to his patients. Dr. Margiotta received his undergraduate education from Illinois Benedictine University and the University of Illinois at Chicago, he then went on to receive his doctorate in Naprapathic Medicine from the National College of Naprapathic Medicine in 1997. Dr. Margiotta served as chairman of the Naprapathic science department at the National College of Naprapathic Medicine from 1999-2002. He also served as assistant clinical director overseeing interns in patient case management from 1999-2002.


Read more about Dr. Margiotta



Naprapathy and Pain

Naprapath Marc Margiotta, DN, DAAPM, is now offering three new treatments at the Raby Institute, aimed at reducing patients' chronic musculoskeletal pain. Read on for the details of each treatment, and find out if they may be right for you.


Hyaluronic Acid (better known as Synvisc): Currently used to treat arthritic joints to reduce pain and inflammation. Hyaluronic acid is a critical component of synovial fluid that, when broken down in patients with arthritis, can cause significant pain and inflammation. The Synvisc injection increases production of healthy synovial fluid and has been shown clinically to improve joint function and increase lubrication within the joints. It's a fantastic treatment option for patients who might be facing a joint replacement. BCBS covers this treatment at the Raby Institute. However, it's currently being covered for the knee only, but can also be used on other joints as well.


Prolotherapy: This exciting injectable treatment is currently used to treat soft tissue injuries such as sprains, strains, tendonitis, bursitis, and other soft tissue inflammation and joint-related problems. A dextrose solution and local anesthetic proliferate the inflammatory cascade within the soft tissue to stimulate new cellular growth as well as collagen production. It has been shown clinically to provide excellent repair for joint supporting tissues. This treatment is far superior to any steroidal approach by stimulating patients' own body to utilize its self-healing properties. Typical prolotherapy treatment requires a course of three to six treatments, and costs $400 per treatment.


Plasma Rich Protein (PRP): A more advanced version of prolotherapy, also known as cellular prolotherapy,  this technique uses patients' own blood for self-healing. The patient's blood is drawn and spun down, and the portion of the blood rich in the platelets is then injected into the damaged or inflamed soft tissue such as tendon, ligament, or muscle tissue, or into a joint to promote the same type of repair as prolotherapy. This more aggressive approach has been shown to work a bit faster than traditional prolotherapy. The main difference between the two treatments is primarily cost; although in many cases, prolotherapy and PRP are used together. Typical PRP cases require a course of two to four treatments.


Please note that prolotherapy and PRP are not covered by third-party insurance, and are therefore fee-for-service procedures. Please call us at (312) 276-1212 for questions.

"Through the skill and intellect Dr. Raby brings to the healthcare profession it is clear that she continues to do research and study about the relationship between integrative medicine and traditional medicine."
- Raby Institute patient